Omega Omega Request Form
We are saddened to hear of the passing of your loved one. If your loved one was a member of Delta Sigma Theta Sorority, Inc. and wanted an Omega Omega service, please complete the form below and a member of our chapter will contact you.
Name of Person Requesting Form
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Relation to Deceased
Name of Deceased Soror
First Name
Last Name
Deceased Soror's Current Chapter, if known
Requested Date for Service
-
Month
-
Day
Year
Date
Submit
Should be Empty: